Rainbow House Icfddh

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

License

060000514 Issued in CA

Legal business name

RAINBOW HOUSE ICFDDH

Practice address

1825 W Cris Ave
Anaheim, CA 92804-6110

Phone

(714) 776-0521

Fax

(714) 776-0521

NPI assigned

Apr 24, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lavinia A Buruga

Title

Care Provider

Phone

(714) 776-0521

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 55G279

Legal name

RAINBOW HOUSE ICF/DD-H

Certification status

Active

Provider type (POS)

Intermediate care facility for individuals with intellectual disabilities

Participating since

Sep 7, 1999

Last certification

Dec 13, 2024

Beds

6

Ownership / control type

Private (proprietary)

Facility address

1825 W Cris Avenue
Anaheim, CA 92804

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219017600000",
    "number": "1356560080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 W CRIS AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928046110",
            "telephone_number": "714-776-0521",
            "fax_number": "714-776-0521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 W CRIS AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928046110",
            "telephone_number": "714-776-0521",
            "fax_number": "714-776-0521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINBOW HOUSE ICFDDH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2008-08-18",
        "status": "A",
        "authorized_official_last_name": "BURUGA",
        "authorized_official_first_name": "LAVINIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CARE PROVIDER",
        "authorized_official_telephone_number": "714-776-0521"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": "060000514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rafeeq Naina Rahman, D.D.S.
• Rahi Rahnama, DDS
• Damanpreet Kaur Rai
• Raihan Nazir DDS, Inc
• Madelaine Rain, LVN
• Raj P Rajani MD
• Raj P Rajani, MD, Inc.
• Angelina Raja
• Sadia Raja
• Camara Meri Rajabari

• Intellectual Disabilities Intermediate Care Facility in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Intellectual Disabilities Intermediate Care Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.